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Smoking Marijuana Raises Risk of Heart Attack

Smoking marijuana may help you chill, but if you're middle-aged or elderly, it significantly increases your risk of having a heart attack during the first hour after smoking the drug.

That is the finding of researchers at Beth Israel-Deaconess Medical Center in Boston, Massachusetts, who presented this study on March 2, 2000, at the 40th annual Conference on Cardiology Disease Epidemiology and Prevention in San Diego.

Marijuana increases the heart rate by about 40 beats a minute and causes the blood pressure to rise when the person is lying down, according to researchers. Blood pressure falls suddenly when the person arises, causing dizziness.

"This may pose a significant risk, especially in people with unrecognized coronary disease," said Murray A. Mittleman, MD, director of cardiovascular disease at Beth Israel-Deaconess.

The researchers gathered medical records on nearly 3,900 people who had suffered heart attacks. Of these, 124 were identified as marijuana users, including 37 who had reported smoking the drug within 24 hours before the heart attack. Nine of the 24 had used the drug within an hour of having the heart attack.

Dr. Mittleman says that this means the risk of heart attack is 4.8 times higher than when the drug is not being used. In the second hour after smoking, the risk is 1.7 times higher.

The study is important for several reasons, according to researchers. First, although cardiac risks are greater with cocaine, which causes a much sharper rise in both blood pressure and heart rate, the overall impact on public health could be greater with marijuana because its use is more widespread. Secondly, this new information should be taken into consideration when deciding whether marijuana for medical use should be legalized.

Scientists are not sure what causes the increased risk of heart attack. It could be the marijuana itself; other components in the smoke, such as carbon monoxide; or a combination of the two.

California and seven other states have made it legal to prescribe marijuana for medical purposes. This is still prohibited by federal law.

An earlier report by the Institute of Medicine of the National Academy of Sciences found no significant cardiac risk among young people who use marijuana. But the first baby boomers are in their mid-fifties now, and the risk of coronary problems rise at this age.

Baby boomers "should at least be aware that their risk of heart attack suddenly soars each time they smoke the drug," Dr. Mittleman warns.

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